SOROOSH AMANAT (NPI# 1003279621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003279621 |
| Entity Type | Individual |
| Full Name | SOROOSH AMANAT |
| Credential | M.D. |
| Practice Address |
971 Lane Ave Chula Vista CA 91914-3501 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 6195027300 |
| Mailing Telephone | 6195027300 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A153022 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 W Arbor Dr, San Diego, CA 921039000 | 8586578600 | |
| 971 Lane Ave, Chula Vista, CA 919143501 | 6195027300 |
| Street Address |
971 LANE AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962471292 | Jose R Leon | Internal Medicine | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2006-03-17 |
| 1902337801 | Livpreet Singh | Pediatrics | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2017-03-22 |
| 1437519378 | Steven Cheng En Wu | Nurse Practitioner | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2016-03-04 |
| 1225431869 | Jessica Bantigue | Nurse Practitioner | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2014-09-26 |
| 1518375179 | Heather Doulaki | Physician Assistant | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2014-07-28 |
| 1558773549 | Carli Steele | Nurse Practitioner | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2014-05-23 |
| 1992140396 | Stephen Lee | Family Medicine | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2013-04-30 |
| 1124461785 | Stephania M Hasan | Family Medicine | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2013-04-14 |
| 1801115324 | Scripps Health | Internal Medicine | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2010-05-24 |
| 1326371683 | Yvonne Renee Williams | Nurse Practitioner | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588197826 | Miguel Alvarez-estrada | Family Medicine | 480 Fourth Ave Ste 403, Chula Vista, CA 91910-4413 | 2017-04-04 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| 1285088013 | Yelennia Palacios | Family Medicine | 480 4th Ave Ste 403, Chula Vista, CA 91910-4413 | 2016-04-18 |
| 1437554979 | Martin Kabongo, M.d., Apc | Family Medicine | 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865 | 2014-10-27 |
| 1396167813 | Mohammed K Elsayed A Proffesional Corporation | Family Medicine | 330 Oxford St Ste 106, Chula Vista, CA 91911-3118 | 2014-01-17 |
| 1760702237 | Jean Rizkallah, Md, Inc | Family Medicine | 450 Fourth Ave., Ste 408, Chula Vista, CA 91910-4430 | 2010-06-08 |
| 1174841936 | Jean Rizkallah, Md | Family Medicine | 450 Fouth Ave, Ste 407, Chula Vista, CA 91910-0000 | 2010-05-04 |
| 1033341409 | Andrew J Pasetti | Family Medicine | 644 Naples Street, Toc Chula Vista, Chula Vista, CA 91911 | 2009-08-18 |
| 1831328616 | Marina Udowenko | Family Medicine | 450 Fourth Ave Ste 408, Chula Vista, CA 91910-4430 | 2009-07-14 |
| 1982840518 | Rebecca Smith, Md, Medical Corporation | Family Medicine | 272 Salinas Dr Unit 165, Chula Vista, CA 91914-0444 | 2009-01-03 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.